xt7gxd0qsr3g https://exploreuk.uky.edu/dips/xt7gxd0qsr3g/data/mets.xml The Frontier Nursing Service, Inc. 2005 bulletins English The Frontier Nursing Service, Inc. Contact the Special Collections Research Center for information regarding rights and use of this collection. Frontier Nursing Service Quarterly Bulletins Frontier Nursing Service, Vol. 81, No. 2, Fall/December 2005 text Frontier Nursing Service, Vol. 81, No. 2, Fall/December 2005 2005 2014 true xt7gxd0qsr3g section xt7gxd0qsr3g , FRONTIER NURSING SERVICE
Volume 81 Numbcr2 Fall/Dcccmbcr 2005 E S
, 2 ..`· 0VI» 5
qnvol U s
Q \ IY is} $5; q
THE x »=·s¤·»~· $#.,3**; K H
ve ` I I _v__ , yu; _ » /
-: ‘ fn _ ni v·· ;,··¢-gw
N · ··>-· 6$5Q3?°¥;’??*?* is I "
>#‘ EY I"' ly? U ` I ~-~I- . Y’ `,
· -~> I A V g .5 J·v. I
,,n· I
I v I E "‘*—»» I ?"" ‘ “ S *
I ._ 1 ii "
I — E, , esi r _ I
1 ~ I:;V.V ;V;;,·;;:e1 ;». ‘ · ~ »——-
·~~A:..» I ¢f· =·· ‘~A=i
‘ - — I- = I2 ’*V ’-.— ‘ ¤
..V.. ~ T · ~
;’ `'‘- R" rri _4,>. 4;.. *2*-. :_i;...._,, M
A =·A .=V: " = -
· :V’ -· .‘·- m m
I _ , V.V»,;.· .»s·~§:§~¥2»$餷.;_;~_ ~$~i§.=z¢’*§,_-,_.ev· =
_· ,`“ _· ':£€\>_ Yr` Z: ' _·g~ '•·’ `?"_ V `
‘ ~ 0 V /3;,.; _§>&’§<%§§;;&¤<$;,‘§Lgj:2z‘>=§—*52;.,,
"“"“ ’ “’ I '#__ "’-
»·=.i_; » "°‘ -‘ " ·"
, 1 -2-- -_; ,,,»~»~·‘·=.»}$y)_ · _,
‘’’ ` Tr E
The Warm Holiday Spirit Lives on at The Big House
US ISSN 0016-2116 ·
TABLE OF CONTENTS
The Joumey "Building Bridges" - W W Hall, Jr 1 ·
Field Notes - Barb Gibson 2 l
Beyond the Mountains - Barb Gibson 6
l
Former Courier News - Barb Gibson 8
FSMFN News - 2005 Graduation Ceremony - Dr Susan Stone 10 ’
FSMFN News - Scholarship Recipients - Dr Julie Marfell 15
1
Old Staff News — Barb Gibson 18
Life as a Clinician in Eastem Kentucky - Angela Mitchell 19 I
In Memoriam , 21 U
Urgent Needs 28
1
Cover: The tradition continues with employees and friends of FNS en-
joying the holiday season at The Big House at Wendover Qahoto taken I
by Marietta Maggarcb. i
1
1
Frontier Nursing Service Quarterly Bulletin is published at the end of
each quarter. Subscription Price $5.00 a year for Donors/$15.00 for Insti-
tutions. Periodicals postage paid at Wendover, Kentucky 41775 and at _
additional mailing ofiices. POSTMASTER: Send address changes to FNS, I
Inc. 132 FNS Drive, Wendover, Kentucky, 606-672-2317. Copyright FNS/ 1
Inc. 2000 All Rights Reserved. The Frontier Nursing Service does not L
share it’s donor mailing list. '
I
1
QUARTERLY BULLETIN 1
The Journey - "Building Bridges"
’ W W Hall, Jn, President & CEO
·, In order to share the success we have seen ,
I during the past year we had to build bridges. ~
I These bridges have promoted growth and ».- T,
I development with our neighbors, businesses, I,
I foundations and friends. In addition, we ,;’__,h
I have taken this focus nationally by select- I ;
ing the Boston, Washington, D.C. and Blue-
I grass committees as three very strong I I
I supporters with a passion for our mission. W W Hull, Jn
These committees have been generous in providing assistance
I and valuable input.
I We have also remembered the past. Much of our focus in
. healthcare is driven by the lessons of Mary Breckinridge, our
founder, and as outlined in her biography, Wide Neighborhoods.
I While the people, transportation, equipment and technology may
change, the challenges we face are timeless. Our clinic nurses
have undertaken numerous projects on site and in our schools to
I assist children and the results are truly inspirational. The staff at
I MBHC continue to focus on the primary needs of our patients
I and the appearance of our facility.
I
I The role ofthe Frontier School of Midwifery and Family Nursing
as an integral part of the FNS enhances our efforts to renew
friendships through local and national recognition. Many ideas that
drive our focus to excel are generated through the hard work of
the staff, faculty and students.
I As we look to the future we appreciate the input we receive from
I our Board, donors, providers and friends. We are experiencing a
I sense of unity and purpose which will ensure our continued suc-
’* cess as we improve the health of those we serve. Wishing you
I Happy Holidays.
P
2 FRONTIER NURSING SERVICE ` j
Field Notes
by Barb Gibson, Assistant to CEO `
October 22, staff at the Community Health Center (CHC) .
and volunteers from the Big Creek Fire Department hosted p
a Pig Roast at the Center. Elmer Sparks Jr., Fire Department i
Volunteer, prepared the food. Over 200 people joined in the fes- j
tivities.
— is i
%"‘-._ .. E
vv};.:.§_vT in ( l
` i '·. ‘ ________ A.
e u ni _, ‘
ti ¢I‘f` i e. ... . —-— ', e
__ _ _,:t .-..a.... V A ll " Vin- ' __/ Adll _
on ·’.‘ » · 1
‘ E Jl ,e ei Q
. . {
Elmer Sparks, Jr., C00k
Our S0th Celebration events came to a close during the week-
end of October 14th and 15th with special performances at the
Community Center in Hyden, by the Hallelujah Singers from
Beaufort, South Carolina. The Board of Governors held their Q
quarterly meeting at Wendover and the Frontier School of Mid- E
wifery and Family Nursing held their annual graduation ceremo-
nies at the Community Center graduating a total of 71 nurse-
midwives and nurse practitioners. The Hallelujah Singers performed i
at graduation also.
September 15th, FNS sponsored a performance at the Nixon
Center by Bluegrass legend Ralph Stanley. A large number of j
FNS friends and Ralph Stanley fans attended the event. Local j
non-profit organizations where invited tolset up food booths free
i
l
_ QUARTERLY BULLETIN 3
i of charge. Everyone enjoyed wonderful Southem cooked food
` including barbeque, soup beans and com bread, chicken and dump-
lings and desserts.
. . ·
p VH all ; _. , ... Q *
2 “ . ¤ . L
{ ¤ I · li el V. Q f, i,
E · r,i:, .` # a ’ *4 ·ll' V ;{ S ?¥§~ :"<‘E¢
[ >· _ { ii? . , ” . T X { ·~·
I in J V e ·»ra Y ; iiie ri S
1 * V A ` ¥ i a --bv} '> I- .·»· · V l ’i `(
I _ ag , »$ _ ;v if, 1, it- ,_
» ‘--= » ` ‘
Hallelujah Singers —pe1formanee
I
Hallelujah Singers (Dean Osborne, guitar, and Barb Gibson,
drums, were honored to play music with the Singers)
E As part of 80th celebrations a collaboration was formed among
the 4-H, Frontier Nursing Service, Leslie County Elementary
Schools and County of Leslie Lifting Youth (COLLY) to improve
Q wellness of students of Leslie County. The program was imple-
mented in the fourth and fifth grades with a goal to walk from
Hyden to the Western end of Kentucky, a distance of 340
. miles. FNS provided schools with classroom sets of pedometers
A for the students to measure walking distances. Competition among
students was encouraged and students were rewarded for miles
¤
I
4 FRONT IER NURSING SERVICE V
walked. Another part of the program included lessons from FNS X
nurse practitioners on body systems and diseases, safety at home
and drug and alcohol abuse. Dakota Lewis, a ten year old fifth
grader wrote a letter expressing her appreciation for the "Walk .
Kentucky Program”. The following are excerpts from her letter:
"I love walking as much as any other child but it is especially
important for me because I have high cholesterol. Walking at school
can help me get plenty of exercise, lower my cholesterol, and help
prevent heart attacks from coming to me in my teen years. Brian
Overbee, FNP who works for FNS, came to our school and taught
us a lesson in Mrs. Mitchell’s class. He also went walking with
us. As we walk we get charms to go on our necklace or bracelets.
Everyone loves getting the charms. We all love walking - it is a
fun activity to do."
George Wooton, former Leslie County Judge Executive and long
time supporter of FNS, recently celebrated his 90th birthday.
A celebration was held for him at his farm just above Wendover.
During September, ladies from the Beta Sigma Phi Sorority of
Hazard, Kentucky, came for lunch and a tour of Wendover. Ev-
eryone enjoyed the delicious southem cooking and historic pre-
sentation by Wendover staff member, Michael Claussen.
During October, a group of travel writers stayed overnight at
Wendover. Several articles have been written about FNS as a
result of press tours. We invite you to come and experience for
yourself our rich heritage at the Historic Headquarters of FNS at
Wendover.
Nancy and Frank Benton of Fort Thomas, Kentucky, recently I
spent the night at Wendover. Mrs. Benton worked for FNS in j
1948 as Secretary for Agnes Lewis.
L;.
QUARTERLY BULLETIN 5
l During October, Dr. Julie Marfell, Chair of Family Practice, gave
r a presentation on FNS for the Perry County Chapter ofthe Daugh-
ters of the Revolutionary War at Margaret Rader’s Cabin in
Rockhouse.
Guests at Wendover from September 1 - December 1, included
236 ovemight guests; luncheons and dinners were served to 716
guests; 176 people attended functions at The Livery; 84 attended
meetings held at Wendover. Total number of visitors was 1,212.
October 4, 2005, Mary Breckinridge Home Health started pro-
viding patients with an additional service in the home setting called
The Home Community Based Waiver Service Program
(HCBWS). The I-ICBWS Program provides homemaking, house-
keeping, personal care and respite care. The Program is designed
to aide patients and their families in providing care in the home to
patients who may otherwise qualify for nursing home placement.
We are hopeful that this Program will bring further opportunities
to the patients and their families that we serve.
Congratulations to Betty Lashon and Julia Dixon from Mary
Breckinridge Home Health Department, for winning t`irst place
in the annual Halloween Dress-up Contest sponsored by Mary
Breckinridge Hospital on October 31, 2005.
Correction
In the last Quarterly Bulletin, page 6, photo
caption is incorrect. The person pictured with
Dr. Susan Stone is Elsie Wilson, former Dean
, , ofthe Frontier School of Midwifery & Family
Nursing.
i;.
6 FRONTIER NURSING SERVICE `
Beyond the Mountains _
by Barb Gibson, Assistant to CEO
During October, Frank Baker, Chief Information Officer, and
John Hoskins, Computer Technician, attended a conference
in Irvin, Texas to learn basic training for the new NEC phone
systems recently installed in the hospital, Wendover and clinics.
The new phone system has the capabilities of making calls to and
from the clinics by dialing a four digit extension number. .
September 26-28, Kevin Cook, Mary Breckinridge
Healthcare Operating Room Head Nurse, attended a sur-
gery conference at Quorum Health Resources (QHR) in
Brentwood, Tennessee.
November 2-4, Kevin Cook, and Kermit Creech, RN, House
Supervisor at Mary Breckinridge, attended a state wide Trauma
Symposium in Louisville, Kentucky.
' September 9, 10, 2005, Dr. Susan Stone, FSMFN President
and Dean, and Nena Harris, FSMFN student, attended the
Midwifery Education Summit in Arlington, Virginia. The meet- y
ing was called by the American College of Nurse-Midwives
(ACNM) Board of Directors in response to growing concems
that the future supply of Certified Nurse-Midwives and Certified
Midwives will not meet the expanding need for women’s health
and obstetric care in the US, particularly for vulnerable popula-
tions.
September 29, 30, 2005, the FSMFN Administrative Team (Su-
san Stone, President and Dean, Carol Panicucci, Coordinator of
Graduate Education, Julie Marfell, Chair of Family Nursing and
Susan Ulrich, Chair of Midwifery and Women’s Health) attended
the American Association of Colleges of Nursing (AACN) DNP
Regional Conference in St. Louis, MO. The meeting was held
to leam and discuss the national movement toward the Doctor of
Nursing Practice (DNP). ' .
QUARTERLY BULLETIN 7
October 12, 2005, Dr. Susan Stone attended the Master of Public
` Health Meeting held by the University of Kentucky Center for
Rural Health in Hazard, KY. The purpose of the meeting was to
explore the possibility of offering a Master of Public Health de-
gree through innovative strategies designed to make the educa-
tion available to the people of Southeastern KY.
October 22-25, 2005, Dr. Susan Stone attended the American
Association of Colleges of Nursing (AACN) Fall Semian-
nual Meeting in Washington, DC. This meeting is a way for
Deans of nursing schools to come together and share ideas and
discuss issues to improve education in their settings.
November 5-6, 2005, Dr. Susan Stone attended her iirst meet-
ing as a member of the Governing Board of the American
College of Nurse-Midwives (ACNM) Division of Accredi-
tation (DOA) in Chicago, IL. The DOA is the official accrediting
body ofthe ACNM. The ACNM is the only national organization
of certified nurse-midwives (CNMs) and certified midwives (CMS)
in the United States. The DOA Goveming Board is responsible
for the administration ofthe DOA’s activities, formulation of policy,
and the development ofthe criteria used in determining accredita-
T tion status.
October 3-6, Edith Hensley, Mary Breckinridge Healthcare
Emergency Room Manager and Kevin Cook, RN, attended
Kentucky Hospital’s First Receiver’s Training in Lexington,
Kentucky.
V September 14, our annual Bluegrass Committee Luncheon
was held at the Louisville Boat Club in Louisville, Kentucky. Ap-
proximately 45 FNS friends attended the Luncheon. Special thanks
to Marjorie Vogt, Chairman ofthe Committee, Betty Christie and
others who helped coordinate the event.
8 FRONTIER NURSING SERVICE `
Former Courier News
by Barb Gibson, Assistant to CEO 'F
Luke McDonald (‘00) San Diego, Califomia, wrote recently that g
his four years at Tulane Medical School in New Orleans have
come to an end. Luke wrote that his personal highlight of medical
school was a three month adventure to Africa with Luther, a class-
mate of his. They spent the first months in rural southwestem
Uganda at a mission hospital where they treated malaria, malnu-
trition and a myraid of other diseases. During the trip they visited
Kenya and Tanzania and had the opportunity to climb Mt.
Kilimanjaro all the way to the peak, 5,895 meters, the tallest peak I
in Africa. Now Luke is packing up and heading for Balboa Naval V
Hospital in San Diego to complete an Orthopaedic General Sur-
gery Intemship. Following that Luke hopes to spend a few years
as a Navy Flight Surgeon sewing with the Marine Corps before
retuming to San Diego to complete an Orthopaedic Surgery Resi-
dency.
I ‘ 1 -7CD'NGRA_`llJLATlON5?· _
t I V v_ ¤~_ vnu im; Now AT
` A T 4 ;. . ..·‘ “ V " ·$¤-
UHURU PEAK, ;`_`i.;N,Z_£\NlA$5_B5£1i“l’All5LQ V
’ . Z”`i»-iiéiiif riiaiééi tr ,t_.- 1; _:’_. 1 , ‘·-—{ _-.’‘ e ,
T ·r~e¤rzL¤*s rucuzst Faris;-erin me Muurgmm
s· . {mu; or womb; LARQ3E5T•VDLC/ih" if
watcomrzfasfngg 4,5*,;:
it Q ,
5 {J "' ‘ ` ,` I · t` ’ (Q gl
\ l __ `AL , ,. ,,?
Luke McDonald — atop Mt. Kilimanjaro, A jiica ’s tallest peak
QUARTERLY BULLETIN 9
Mrs. Edgar B. (Salbw Taylor) Butleg Bloomfield, Connecticut,
'· wrote the following: "Congratulations on the outstanding Quar-
terly Bulletin. It brought back many memories of my time with
, you as a Courier in the winter of 1936. I distinctly remember the
i day a cow at the outpost center went dry and I was called upon to
lead a cow from Wendover to an outpost center. I struggled this
beautiful winter day yanking and pulling on the lead rope behind
my horse and me. Fortunately, I met a nice man along the trail
who cut me a tall slender branch of a tree and put the cow in front
of us and told me to keep teasing the cow onward with the long
switch. We reached the oupost center after hours where the nurse-
midwife, others and I rejoiced that the cow still gave milk".
Anna Carey (‘03), Anna arrived at Wendover as a Courier dur-
ing 2003. She came to us from New York and loved Hyden so
much that she decided to stay. Anna works as the Director of a
newly formed organization called County of Leslie Lifting Youth
designed to help youth (COLLY). COLLY recently acquired funds
to bring a mobile dental unit to Leslie County Public Schools. In
addition, Anna volunteers her free time in many different areas
and recently became partners with FNS Board Member, Rhonda
Brashear in opening a restaurant, Kudzoo Comer, near the car
wash in Hyden.
· `~.· EP? ‘ g rt r·t
.
‘ .
Q . __._ . g. _ . .,,,
It . » >” I ` " ~\
` IQ * V, . j; . I
T Anna Carey and Cleo
10 FRONTIER NURSING SERVICE s
Frontier School of Midwifery and Family Nursing Update
- Dr Susan Stone, President and Dean
2005 Graduation Ceremony
On October 15, 2005, the FSMFN held the annual graduation cer-
emony. It was a spectacular Fall day in Hyden, Kentucky. The
sun was shining through the beautiful fall leaves, the air was warm
and the excitement was everywhere. The entire faculty was in
attendance as well as the FSMFN Board of Directors. The num-
ber of graduates able to attend the ceremony this year was small;
only 18 out of a total of 71 graduates were in attendance. But,
when you added in all of their proud family members, we had a
crowd of over 200 in the Community Center. There were many
tears and memorable comments from the family and friends as
the graduates slowly marched into the auditorium to Pomp and
Circumstance. "I see her, I see her." "Isn’t she beautiful?"
Marion McCartney CNM Director of Professional Services
at the American College of Nurse Midwives (ACNM gave the
graduation speech. Below is the full text of that speech:
Thank you for inviting me to speak and congratulations to all of
you. Did you ever think you would get here? Congratulations to
your families and friends who I know supported this endeavor
(it’s really not over) as well as the faculty and staff ofthe Frontier
School of Midwifery and Family Nursing, the Board of Directors,
the whole FNS. It really is a group effort and I can appreciate the
effort that you all have put forward to arrive at this day.
When I asked my husband, Jack, what he thought I should talk
about he said "ab0ut IO minutes" so I will take his good advice
and be brief.
As a new graduate in 1974, I had very concrete goals. I wanted
clinical experience with other people around to help me, espe-
cially for sewing up thetears, shoulder dystocia, post partum hem-
orrhage and inserting IUDs!
QUARTERLY BULLETIN l l
Great Doctor Jim Brew believed that midwives were best for
women and, even more radically, that healthy women could de-
liver as safely at home as in the hospital. He was a blessing and
he was gutsy. There are physicians who want to help you suc-
ceed. They have done so much to move midwifery forward often
in the face of great personal pressure from their colleagues. Charlie
Mahan is one of those physicians who has always promoted nurse-
midwifery. We all need to remember those doctors when we com-
plain about the ones who aren’t so helpful. I have one clinical
pearl and some political pearls to pass along.
The clinical pearl is called Stop, Look and Listen (before you cross
the street use your eyes use your ears and then use your feet) It
works for midwives and nurse practitioners. You will make fewer
mistakes if you Stop, Look and Listen.
Stop - before you engage the patient; pause and redirect all your
attention to the person on the other side of the door. Stop that
chatter in your head (write it down if you need to and do it later).
Make it a habit. Your attention is for this woman, this family right
now.
Look — make eye contact- what do you see? What impression do
you get? Take it all in. Is she cautious, afraid, relaxed, tense, an-
gry, disconnected, in pain? Is she alone or with someone and what
can you leam from that person. How is she dressed, what is the
body language? If there are children present, how do they relate
to each other. It is important. And sometimes how a person looks
and what they say are contradictory.
Listen - no matter how important the information is that you would
like to give her, it is secondary to the information she has for you.
Ask her what she would like to talk about and give her a minute to
get it together. Don’t worry about the chart, focus on her. Every-
one has concems and even if you do not get one right away, she
will be pleased that you asked and eventually she will tell you
l2 FRONTIER NURSING SERVICE ‘
what is on her mind. Then she will be more free to listen to what
is on your mind. When dealing with health problems, about 80% ’
of the time people know what is wrong with them. Some think I
they shouldn’t say anything because that’s your job. So if you J
want to make the correct diagnosis, ask the person what she thinks
is wrong. Listen - maybe they won’t have the technical words but
they have a good idea and they know they need help. So listen for
the answer. You will be considered a brilliant diagnostician. Stop
Look and Listen for the answer - it is simple and it works.
Now the political pearls: I actually live in Washington D.C. which
is a federal city and not part of any state. And you may not realize
that, although we can vote for President of the United States, we
do not have any voting representation in the US Congress. No
Senators represent us (you all have two) and we have non-voting
Congresswoman (Eleanor Holmes Norton) in the House of Rep-
resentatives. We pay both federal income tax . When you can’t
vote you realize what you have lost. I have a sticker on my car
"No taxation without representation"A half a million people living
in our nation’s capitol are disenfranchised. That fires my interest
in politics. We also have the highest infant mortality rate in the
country - worse than some 3“’ world countries. I think there is a
connection.
I know that healthcare policy and politics play an enormous role in
how midwives practice. It defined my scope of practice and it will
define yours. I predict that one day soon you will look up from
your clinical practice and ask "What, where, why, how and who is
making clinical practice difficult for me and the women and fami-
lies I am trying to serve‘?? Who made the rules goveming billing,
contracts, credentialing, productivity, scope of practice, licensing,
malpractice insurance, and other barriers to providing the kind of
care you are envisioning today. On that fine day you will begin I
your lifelong learning in the field of policy, politics and financing of
healthcare. Knowledge is power and being connected politically
at the local level can have enormous advantages for you and the
families you serve.
QUARTERLY BULLETIN 13
S0 after a year of emersion in your clinical practices, I think some
, of you will dive into the political scene where you live and others
p will stand around the edges trying to sort out what is happening.
This is a good thing. Register to vote. Make your office or your
~! website a place where your families can register to vote. Join
with other groups to make changes. Get involved in the local chap-
ter, the Board of Nursing and other like minded groups of nurse
practitioners. Beyond that . . . question candidates for office.
Do they support nurse—midwives and nurse practitioners? Do they
support healthcare for the uninsured? If yes, send them money.
Volunteer to work on their campaigns. If they win you have an
ally in the state legislature.
You all are so good at communicating with people you will be
wonderful in the political mix as well. People will respect your
expertise as a healthcare provider. They will believe you because
you are a nurse (and people believe that nurses are overworked
and underpaid). When they realize that you are a nurse-practitio-
ner or a nurse-midwife and you care for the underserved, you are
the voice of experience, reality and reason.Kitty Ernst and Ruth
Lubic have been exemplar leaders for us. If they can do this and
work the political system, so can we.
There are a lot of nurses who are state legislators. In New Hamp-
shire, Charlotte Houde-Quimby is nurse-midwife, State Repre-
sentative. She and a college friend of mine, Eileen Flockhardt were
both elected in 2004. Eileen called me recently to tell me how
impressive Charlotte was speaking in support of making "Plan B"
available in New Hampshire! This saves the State money and it is
safe. So we have Eileen who had a midwife attended birth (me)
and Charlotte speaking out for midwives in New Hampshire.
_, We have only 49 states left! Then we can get some sensible health
{ care legislation passed, like health insurance that covers all Ameri-
cans. In 2004, over 45.8 million people were uninsured in the US.
In the next l0 years if each midwifery education program (there
are 42) graduated two midwives and two nurse practitioners, who
14 FRONTIER NURSING SERVICE ·
won state legislative seats we could make our voices heard across
the country. We could talk about the cost of healthcare and the ”
consequences of having such a huge number of uninsured people.
Here are the consequences for having so many uninsured people
in the US. A new study by Families USA says that by the end of M
2005, nearly 48 million people will be uninsured. That now ex-
ceeds the cumulative population of 24 States and the District of
` Columbia. That is a national disgrace!
We know that people without insurance wait longer to get care if
sick, and come in through the ER door where they pay about 1/3
of their bill out of pocket. Who pays the rest of the bill? The
remaining sum (almost $ 43 billion for 2005) is primarily paid by
two sources: roughly 1/3 by government programs and two thirds
is paid by people with health insurance through higher premiums:
all of us.To get more personal, in Kentucky by the end of 2005,
the total cost for the uninsured after their out of pocket contribu-
tions will be $679 million dollars. The cost for a family policy will
be $1,086 HIGHER in 2005 to cover the costs for the uninsured.
More people become uninsured in Kentucky each year. By the
end of 2005, 601,000 Kentuckians will be uninsured. By 2010,
that number will climb to 668,000.
These are very troubling numbers that need to be addressed. This
will not go away. We need to bring everyone into the healthcare
system and we need to provide appropriate evidenced-based care
to the United States population. We can do better for less costs.
We spend more per capita on healthcare than any other country in
the world and we remain at about 16‘*‘ in infant mortality among
developed countries. We must do better. Nurse-midwives and nurse
practitioners get outcomes equal to physician outcomes, they cost
less to educate and employ and use fewer unnecessary costly
resources, saving money for the system. State legislators need to >
understand these issues. Healthcare costs are driving the deci-
sions on state and federal programs. You can educate legislators
and create new opportunities for yourselves and for the families
you serve. You are truly tomorrow’s leaders. Go for it.
QUARTERLY BULLETIN 15
L Frontier School of Midwifery and Family Nursing
-. Scholarship Recipients
by Dr: Julie Marfell, Chairperson of Family Nursing
A The FSMFN Scholarship Committee announced this years
winners of awards and scholarships at graduation. The schol-
arshzp winners are chosen by a student application process
that is judged by the Committee based on established criteria
for each of the scholarships and awards. The following is a
list of this years recipients.
Kitty Ernst Leadership Award — Nena Harris, CNEP student,
North Carolina. Nena is a family nurse practitioner as well and is
currently finishing both the CNEP program and a PhD at the Uni-
versity ofNo1th Carolina.
X ` ZV. .p4· L
”l l it » . ..a_ ·
E~. » eir ·
·—\ ef a gz Q . . _ ‘_·
, Dr; Susan Stone and Nena Harris - student
Kate Ireland Scholarship - Mary Alice DeCoursey, CNEP stu-
dent, New Orleans, LA. Mary Alice intends to return to New
Orleans and work with underserved women.
16 FRONTIER NURSING SERVICE ·
Alumni Scholarship - Deni Llovet, CNEP student, Montana. Deni
is also a graduate of the CFNP program and received her MSN *
from Case Westem Reserve. She intends to continue to live and
work in Westem Montana. _
Filomena Vagueiro, CNEP student, Connecticut. Filomena is also
a nurse practitioner and plans to work nationally and internation-
ally for better health status for women and children.
Mardi Perry Scholarship - Julie Paul, CNEP student, New
Hampshire. Julie plans on developing a birth center in her com-
munity.
Betty Lou Johnson Scholarship - Brenda LaPage, CFNP stu-
dent, New York. Brenda is a graduate of the CNEP program and
plans to continue to live and work in her rural community and
strive to improve access to healthcare for families.
Daughters of Colonial Wars - Brooke Flinders, CNEP student,
Ohio. Brooke intends on staying in her community and being the
first CNM in her area.
Berea Appalachian Scholarship - Carrie Lee Hall, CNEP stu-
dent, Kentucky. Carrie plans to stay in Eastem Kentucky and
delivery matemity care to women.
Carolyn Hare, CFNP student, Kentucky. Carolyn is from Russell
County and intends to work with elderly clients and their families.
Kim Meyers, CFNP student, Kentucky. Kim is also from Russell
County and intends on continuing to provide care in her home
community upon graduation.
(
Lisa Scherrer Scholarship - Raquel Jones, CNEP student, Idaho.
Raquel intends on practicing with Hispanic Women in Idaho and p
Texas. '
QUARTERLY BULLETIN l7
A Margaret Ferguson Scholarship - Lisa Wyatt, CNEP student,
¤ Pennsylvania. Lisa intends to open a Women’s Health Center for
Amish and Mennonite women.
`.` Lisa Stout, CNEP student, Oklahoma. Lisa intends on providing
midwifery services to Native American women.
Nancy B. Taylor Scholarship — Michelle Nail Nofsinger, CFNP
student, Montana. Michelle plans to continue intemational work
in Southeast Asia and also to complete the CNEP program.
Gwen Beatty, CNEP student, Massachusetts. Gwen plans to con-
tinue work in Africa.
Kerry Dixon, CNEP student, Minnesota. Kerry plans to continue
work in China.
Alice Adams Scholarship - Shanna Thomas, CNEP student,
Oklahoma. Shanna intends on continuing to provide care to women
in her community.
WEBSITES
Frontier Nursing Service - www.frontiemursing.org
FSMFN Community Based Nurse Midwifery Education Program
(CNEP) - www.midwives.org
FSMFN Community Based Nurse Practitioner Program (CFNP)
- www.frontierfnp.org
(
d
18 FRONTIER NURSING SERVICE i
Old Staff News U
Meta Klosterman McGuire, Chattanooga, Tennessee, died July
7, 2005. Ms. McGuire was Mrs. Breckinridge’s private secretary tr
in the early l940’s. Ms. McGuire told friends that her time at FNS
was the best time of her life. ,
» a.,, .
1 1 *.-.» ~ 1
I `
”“W,,,~,..\,s.».·N »i.xr->—¤»\-‘·-- -=»»-··» lil",. “’ r E
3 , to \ I l i (gh / `
I " ‘ i i I ¤ rt. . ‘‘`
o ‘" . ly. I
i f ·· ” A \_ {'_/{4: I gym
S H a ’Y§;" e ._ .. "'
· ‘<_S_‘—. ,___ , " fy
Meta Klosterman McGuire, Mrs. Breckinridge ’s Secretary in
1942 — in the Upper Shey Room at Wendover
Elisabeth (Boardman) Lloyd, Belmont, Massachusetts, died
September 18, 2005. Mrs. Lloyd served as a Courier at FNS in
the 1930’s.
Mary "Chris" Banigan, Fresno, California, passed away March
19, 2004. "Chris" was a 1976 graduate ofthe Frontier School of
Midwifery & Family Nursing and a staff member.
1
(
QUARTERLY BULLETIN 19
Life of a Clinician in Eastern Kentucky
" by Angela Mitchell, ND, MSN APRM BC
H Angela “Angie" Mitchell is the Family Nurse Practitioner at
A the Kate Ireland Healthcare Center in Manchester; Kentucky
N At the end of this summer a wonderful
. opportunity found its way to the FNS. ' V
. The Clay County Board of Education yr.
was looking for an organization to part-
ner with to help meet the healthcare -
needs of children living in Clay County.
Without much time we hit the ground _
running to develop our goals and to Y" i:` if
hire staff. We have begun providing Angela Mitchell
basic healthcare through three school nurses, one full-time at the
high school, one full-time at the middle school, and one full-time
I nurse covering eight elementary schools.
I have received so many positive comments from community mem-
bers about the difference these three women are making for the
students. These nurses are taking care of students’ daily health
complaints such as sore t